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So Youn Jeon 3 Articles
Health Impact Assessment of Free Immunization Program in Jinju City, Korea
Keon Yeop Kim, So Youn Jeon, Man Joong Jeon, Kwon Ho Lee, Sok Goo Lee, Dongjin Kim, Eunjeong Kang, Sang Geun Bae, Jinhee Kim
J Prev Med Public Health. 2012;45(4):267-275.   Published online July 31, 2012
DOI: https://doi.org/10.3961/jpmph.2012.45.4.267
  • 7,821 View
  • 57 Download
  • 3 Crossref
AbstractAbstract PDF
Objectives

This study was conducted to assess the potential health impacts and improve the quality of the free immunization program in Jinju City by maximizing the predicted positive health gains and minimizing the negative health risks.

Methods

A steering committee was established in September 2010 to carry out the health impact assessment (HIA) and began the screening and scoping stages. In the appraisal stage, analysis of secondary data, a literature review, case studies, geographic information systems analysis, a questionnaire, and expert consultations were used. The results of the data collection and analyses were discussed during a workshop, after which recommendations were finalized in a written report.

Results

Increased access to immunization, comprehensive services provided by physicians, the strengthened role of the public health center in increasing immunization rates and services, and the ripple effect to other neighboring communities were identified as potential positive impacts. On the other hand, the program might be inaccessible to rural regions with no private clinics where there are more at-risk children, vaccine management and quality control at the clinics may be poor, and vaccines may be misused. Recommendations to maximize health gains and minimize risks were separately developed for the public health center and private clinics.

Conclusions

The HIA provided an opportunity for stakeholders to comprehensively overview the potential positive and negative impacts of the program before it was implemented. An HIA is a powerful tool that should be used when developing and implementing diverse health-related policies and programs in the community.

Summary

Citations

Citations to this article as recorded by  
  • Cross-Sectional Study of Varicella Zoster Virus Immunity in Healthy Korean Children Assessed by Glycoprotein Enzyme-Linked Immunosorbent Assay and Fluorescent Antibody to Membrane Antigen Test
    Yunhwa Kim, Ji-Young Hwang, Kyung-Min Lee, Eunsil Lee, Hosun Park
    Vaccines.2021; 9(5): 492.     CrossRef
  • Health Impact Assessments of Health Sector Proposals: An Audit and Narrative Synthesis
    Nelius Wanjiku Wanjohi, Reema Harrison, Ben Harris-Roxas
    International Journal of Environmental Research and Public Health.2021; 18(21): 11466.     CrossRef
  • Epidemiological Impact of the Korean National Immunization Program on Varicella Incidence
    Jaehun Jung, Young-Jin Ko, Young-Eun Kim, Kyungmin Huh, Byung-Joo Park, Seok-Jun Yoon
    Journal of Korean Medical Science.2019;[Epub]     CrossRef
The Knowledge, Attitude and Practice of Blood Pressure Management from the Patient's Viewpoint: A Qualitative Study.
Sok Goo Lee, So Youn Jeon
J Prev Med Public Health. 2008;41(4):255-264.
DOI: https://doi.org/10.3961/jpmph.2008.41.4.255
  • 5,071 View
  • 145 Download
  • 7 Crossref
AbstractAbstract PDF
OBJECTIVES
This study adopted a qualitative method to explore the layman's beliefs and experience concerning high blood pressure and its management in order to develop a strategy to increase adherence to proper medical treatment. METHODS: Semi-structured interviews that focused on personal experiences with hypertension and its management were conducted with 26 hypertensive patients. The participants were selected according to a BP above 140/90 mmHg (hypertension stage 1), based on the seventh report of the Joint National Committee on prevention, detection, evaluation and treatment of high blood pressure (JNC-VII). The interviews lasted for approximately 30 minutes (range: 20-60 minutes). The resulting questions were formulated into open-ended questions. The interview questionnaire was composed 17 items to examine non-adherence to treatment and 19 items to examine adherence to treatment. RESULTS: Most participants recognized that the direct cause of high blood pressure was unhealthy behavior rather than inheritance. Thus, the hypertensive patient believed they could recover their blood pressure to a normal level through removing the direct cause of hypertension (weight reduction, diet, exercise) instead of taking drugs. The reasons for these statements were that the drugs for controlling hypertension are not natural or they are artificial, and they may have side effects, and drugs are not treatment for the root cause of hypertension. Most of the hypertensive patients chose to manage their behaviors as soon as they knew their blood pressure was high. Therefore, we should not divide the subjects into two groups according to their taking drugs or not, but they should be divided into two groups according to their willingness or not to manage their condition. CONCLUSIONS: For developing a strategy for an individual approach to hypertension management, we need to develop a client-centered attitude and strategy. That is, we need to tailor our approach to individual cases to avoid generalizations and stereotyping when developing an adherence increasing strategy.
Summary

Citations

Citations to this article as recorded by  
  • Effects of Comorbid Sleep Disorders on Cardiovascular Complications of Hypertension Among Patients With Newly-diagnosed Hypertension: An Analysis of the Korean National Health Insurance Service-National Sample Cohort
    Jeongmook Kang, Yoon-Hyung Park, Kwang Ik Yang, Jose Rene Bagani Cruz, Young Hwangbo
    Journal of Preventive Medicine and Public Health.2020; 53(1): 37.     CrossRef
  • Affecting Factors of Health Behavior Adherence depending on the Duration of the Hypertension Diagnosis
    Jong Sun Ok, Il Sun Ko, Kyu Hyung Ryu
    The Korean Journal of Rehabilitation Nursing.2017; 20(2): 151.     CrossRef
  • Psychometric Properties of a Short Self-Reported Measure of Medication Adherence Among Patients With Hypertension Treated in a Busy Clinical Setting in Korea
    Jeung-Hee Kim, Weon-Young Lee, Yeon-Pyo Hong, Wang-Seong Ryu, Kwang Je Lee, Wang-Soo Lee, Donald E. Morisky
    Journal of Epidemiology.2014; 24(2): 132.     CrossRef
  • From resistance to rescue – patients’ shifting attitudes to antihypertensives: A qualitative study
    Fredrik Hultgren, Grethe Jonasson, Annika Billhult
    Scandinavian Journal of Primary Health Care.2014; 32(4): 163.     CrossRef
  • The Effects of Adherence on Hypertension Control among Newly Diagnosed Hypertension Patients
    Jin-Ok Han, Dae-Kyu Oh, Jun Yim, Kwang-Pil Ko, Hee Young Lee, Jong Heon Park, Jeong-Soo Im
    Health Policy and Management.2014; 24(2): 136.     CrossRef
  • Impact of Health Literacy on Disease-related Knowledge and Adherence to Self-care in Patients with Hypertension
    Youn-Jung Son, Eun-Kyeung Song
    Journal of Korean Academy of Fundamentals of Nursing.2012; 19(1): 6.     CrossRef
  • Patients' Perspectives of a Multifaceted Intervention With a Focus on Technology
    Anne Lambert-Kerzner, Edward P. Havranek, Mary E. Plomondon, Karen Albright, Ashley Moore, Kelsey Gryniewicz, David Magid, P. Michael Ho
    Circulation: Cardiovascular Quality and Outcomes.2010; 3(6): 668.     CrossRef
The Relations of Socioeconomic Status to Health Status, Health Behaviors in the Elderly.
Sok Goo Lee, So Youn Jeon
J Prev Med Public Health. 2005;38(2):154-162.
  • 3,147 View
  • 160 Download
AbstractAbstract PDF
OBJECTIVES
To analyze the relationships of socioeconomic status (SES) to health status and health behaviors in the elderly. METHODS: Data were obtained from self-administered questionnaire of 4, 587 persons, older than 65 years, living in a community. We measured the sociodemographic characteristics, socioeconomic status, health status (subjective health status, acute disease, admission experience, dental state, chronic disease etc.), activities of daily living (ADL), instrumental activities of daily living (IADL), and mini-mental state examination-Korean (MMSEK). Binary and multinominal logistic regression analyses were employed to analyze factors affecting on the socioeconomic status of the elderly. RESULTS: With regard to the SES and health status, those with a low SES had poorer subjective health states and lower satisfaction about their physical health. Also, acute disease experiences, admission rates and tooth deciduation rates were higher in those of low SES. In the view of physical and cognitive functions, the ADL, IADL and MMSE-K scores were also lower in those of low SES. However, with regard to health behaviors, lower smoking and alcohol drinking rates were found in the low SES group, and a similar trend was shown with regular physical exercise, eating breakfast, and regular physical health check-up. From these findings, we surmise that those with low SES have a poorer health condition and less money to spend on health, therefore, they can not smoke or drink alcohol, exercise and or have a physical health check-up. CONCLUSION: This study suggests that socioeconomic status plays an important role in health behaviors and status of the elderly. Low socioeconomic status bring about unhealthy behavior and poor health status in the elderly. Therefore, more specific target oriented (esp. low SES persons) health promotion activities for the elderly are very important to improve not only their health status, but their health inequity also.
Summary

JPMPH : Journal of Preventive Medicine and Public Health